1/3. Outflow uropathy: occupational disorder?This paper alerts physicians, health care workers, and employers to a probable connection between voluntary, infrequent voiding and urinary dysfunction. The dysfunction includes abnormal uroflow patterns, increased urethral resistance, abnormal post-void residuals, chronic trigonitis, and urethrovesical inflammatory polyps. A review of intermittent uroflow and obstructive uroflow patterns reveals that all females in this study worked long hours without voiding.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/3. "Alphabet soup" and the prostate: LUTS, BPH, BPE, and BOO.The patient described, though not typical, is one among many of those of the aging male population in whom their primary care physicians will increasingly diagnose diseases affecting the prostate gland. Primary care physicians then will offer first-line therapy not only for prostatic diseases but also for concurrent sexual and erectile dysfunction. This brief primer for primary care physicians "unscrambles" the alphabet in a "soup" of initialisms and acronyms for lower urinary tract symptoms, benign prostatic hyperplasia, benign prostatic enlargement, and bladder outlet obstruction.- - - - - - - - - - ranking = 3keywords = physician (Clic here for more details about this article) |
3/3. Incisional bladder hernia and refractory urinary urgency after pelvic surgery: a case report.BACKGROUND: Isolated incisional herniation of the bladder is very rare following pelvic surgery and may present as suprapubic discomfort. We report a case of incisional bladder hernia following pelvic surgery presenting as refractory urinary urgency. CASE: A 70-year-old woman, para 2, presented with a long history of suprapubic tenderness and refractory urinary urgency following reconstructive pelvic surgery. Over the 3 years following her surgery, multiple physicians evaluated the patient but were unable to find a definitive source of her urgency. She had used multiple anticholinergic agents without relief of the symptoms. A complete urogynecologic evaluation, radiologic imaging and high clinical suspicion for incisional hernia revealed a bladder hernia. Surgical exploration confirmed the fascial defect and bladder hernia. herniorrhaphy corrected the defect and relieved the patient's symptoms of refractory urgency. CONCLUSION: An incisional bladder hernia may present as refractory urinary urgency following reconstructive pelvic surgery. Strong clinical suspicion can allow earlier diagnosis and surgical treatment of this rare condition. Primary herniorrhaphy offers successful repair of the fascial defect and resolution of the urgency symptoms.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |